膀胱混合癌的诊断与治疗——附13例报告  

Diagnosis and therapy of bladder mixed tumor(Reports of 13 cases)

作　　者：苏宏伟[1] 董胜国[1] 李延江[1] 崔同跃[1] 董涛[1] 

机构地区：[1]青岛大学医学院附属医院泌尿外科

出　　处：《临床泌尿外科杂志》2006年第6期428-429,共2页Journal of Clinical Urology

摘　　要：目的：提高膀胱混合癌的诊断和治疗水平。方法：结合文献对收治的13例膀胱混合癌的临床表现、诊断、治疗及预后进行分析。结果：13例膀胱混合癌中,移行细胞癌加腺癌5例,移行细胞癌加鳞癌4例,癌肉瘤3例,移行细胞癌加低分化腺癌加小细胞神经内分泌癌1例,其中T_2期3例,T_3期10例；G_2 2例,G_311例。作TURBt 1例,膀胱部分切除术5例,膀胱全切术7例,其中回肠膀胱2例,输尿管皮肤造口术1例。结论：膀胱混合癌是一种恶性程度很高的肿瘤,预后差,早期诊断困难。手术切除是主要治疗方法。Objective：To improve the diagnose and treatment of the bladder mixed tumor. Methods：The clinical manifestations, diagnose, treatment and prognosis were discussed in 13 cases of the bladder mixed tumor with reiewing documents, Results： 13 eases of the bladder mixed tumor accounted,of which 5 of 13 were transitional-adeno carcinomas . 4 transitional-squamous mixed tumors ,3 carcinosarcomas, 1 transitional-poorly differentiated adeno-small cell neuroendocrine carcinoma . All of the patients underwent surgical treatment, 1 for transuretbral rectomy of bladder cancer, 5 for partial cystectomy, 3 for radical or total cystectomy. Conclusions：There were high malignancy and worse prognosis in bladder mixed tumor, It is difficult to diagnose. Cystectomy is the basic metb od of treatment.

关 键 词：膀胱肿瘤 诊断 治疗 

分 类 号：R737.14[医药卫生—肿瘤]